Food Insecurity is Associated with Objectively Measured Sleep Problems.
Food Insecurity is Associated with Objectively Measured Sleep Problems.
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DOI：
10.1080/15402002.2019.1669605
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发表时间：
2020-11
影响因子：
3.1
通讯作者：
Dubowitz T
中科院分区：
文献类型：
--
作者：
Troxel WM;Haas A;Ghosh-Dastidar B;Richardson AS;Hale L;Buysse DJ;Buman MP;Kurka J;Dubowitz T
食物不安全（FI）可能是一个深刻的压力来源，这可能会增加睡眠障碍的风险。这是第一个研究FI与客观和主观测量睡眠之间关系的研究。样本包括生活在两个低收入社区的785名成年人（平均年龄=56岁；95%是非裔美国人）。我们的研究首次考察了FI与睡眠的多个维度之间的关系，并对其进行了客观和主观的评估。FI是通过一项10项调查来衡量的，该调查评估了家庭在缺乏财政资源以满足基本粮食需求时的状况和行为特征。通过活动记录仪测量睡眠持续时间、效率、睡眠后觉醒（WASO）和睡眠持续时间的变异性。通过睡眠日记评估睡眠质量。将睡眠结果作为FI的函数进行分析，并调整协变量。心理困扰被测试为潜在的中介。更大的FI与更短的活动仪评估睡眠时间（B= - 2.44； SE=1.24；即，与最不安全组相比，最不安全组短24分钟）、更差的睡眠效率（B= - 0.27； SE= 0.13）相关；p< 0.05)，主观睡眠质量较差（B= - 0.03； SE= 0.01; p< 0.01）。与推荐的7 - 9小时睡眠时间相比，更大的FI也与更大的短睡眠（< 7小时；OR= 1.11; CI: 1.02-1.21）和长睡眠（bbbb9小时；OR= 1.19; CI: 1.01-1.39）相关。心理困扰在FI与主观睡眠质量之间起部分中介作用。FI是睡眠障碍的独立相关因素。研究结果表明，考虑睡眠健康差异背后的新社会决定因素的重要性。
Food Insecurity (FI) can be a profound source of stress, which may increase the risk for sleep disturbance. This is the first study to examine the association between FI and objectively and subjectively measured sleep. The sample included 785 adults living in two low-income neighborhoods (mean age=56; 95% African American). Our study is the first to examine the association between FI and multiple dimensions of sleep, assessed objectively and subjectively. FI was measured using a 10-item survey that assesses conditions and behaviors that characterize households when they lack financial resources to meet basic food needs. Sleep duration, efficiency, wakefulness after sleep onset (WASO), and variability in sleep duration were measured via actigraphy. Sleep quality was assessed via sleep diary. Sleep outcomes were analyzed as a function of FI, adjusting for covariates. Psychological distress was tested as a potential mediator. Greater FI was associated with shorter actigraphy-assessed sleep duration (B=−2.44; SE=1.24; i.e., 24 minutes shorter for the most as compared to least insecure group), poorer sleep efficiency (B=−.27; SE=.13); p’s<.05), and poorer subjective sleep quality (B=−.03; SE=.01; p<.01). Greater FI was also associated with greater likelihood of short (< 7 hours; OR= 1.11; CI: 1.02–1.21) and long sleep (> 9 hours; OR =1.19; CI: 1.01–1.39), compared to the recommended sleep duration of 7–9 hours. Psychological distress partially mediated the association between FI and subjective sleep quality. FI is an independent correlate of sleep disturbance. Findings demonstrate the importance of considering novel social determinants underlying sleep health disparities.
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影响因子：
3.4
作者：
Quante M;Kaplan ER;Cailler M;Rueschman M;Wang R;Weng J;Taveras EM;Redline S
通讯作者：
Redline S
影响因子：
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作者：
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影响因子：
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通讯作者：
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影响因子：
5.6
作者：
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Calil, HM
影响因子：
5.5
作者：
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通讯作者：
Ford ES